目的：分析贵州省县级及以上医疗机构新农合住院病人流向、住院费用及自付费用的变化情况。方法：以2012-2014年贵州省7个县县级及以上医疗机构新农合住院病案资料为研究对象，运用非参数检验及描述性统计分析病人流向、报销费用、住院费用及病人自付费用，以得到住院病人县内外医疗机构就诊流向及费用的变化趋势，分析造成这种变化的原因。结果：县外医疗机构住院人次明显上升，县级及以上医疗机构报销额年均占比呈上升趋势，县外医疗机构住院费用四分位数远高于县内医疗机构，县内外医疗机构病人自付费用变化差异有统计学意义（ P<0.05）。结论：县外医疗机构住院人次、住院费用均明显高于县内医疗机构。%Objective:To analyze the changes of inpatients flow and new rural cooperative medical fund,hospital expense and self-paid expense. Methods:The subjects were selected from seven town medical care organizations from 2012 to 2014 . Non-parametric test and descriptive statistics analysis were used to analyze the patients′flow,reimbursement,hospitalization and patient′s paid expenses. In this way,the flows of hospitalization patients in and out of town medical care organizations and changes of expense were obtained and analyze the cause of the change. Results:Number of hospitalized people in out of town medical care organizations obviously increased;average annual reimbursement of medical institutions at county level and above is on the rise;quartile of out of town medical care organizations hospitalization cost was far above the in-town ones;difference of change of patients′expense both in and out of town has statistical significance( P <0 . 05 ). Conclusion:Number of hospitalized people and hospitalization expense in out of town medical care organizations are obviously higher than in-town ones.
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